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General NPI Number Information
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NPI Number | 1699965814
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Entity Type | Organization
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Legal Business Name | ANNE WHITE MD PC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 909 N 5TH AVE NE
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City | ROME
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State | GA
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Zip | 30165-2706
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Country | US
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Telephone | 706-295-5150
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Fax | 706-295-4865
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Provider Business Mailing Address
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Address Line | 909 N 5TH AVE NE
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City | ROME
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State | GA
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Zip | 30165-2706
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Country | US
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Telephone | 706-295-5150
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Fax | 706-295-4865
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMY MICHELLE DENNINGTON
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Credential | CPC
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Telephone | 706-295-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN093196
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License Number State | GA
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